盆腔底肌肉运动对女性妊娠和产后性功能的影响：系统评价。
The Effect of Pelvic Floor Muscle Exercise on Female Sexual Function During Pregnancy and Postpartum: A Systematic Review.
机构信息
School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia.
School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia.
出版信息
Sex Med Rev. 2019 Jan;7(1):13-28. doi: 10.1016/j.sxmr.2018.08.002. Epub 2018 Oct 6.
INTRODUCTION
Pelvic floor muscle exercise (PFME) is recommended as a first-line treatment for urinary incontinence. However, a review of the literature suggests the effect of PFME on sexual function (SF), particularly during pregnancy and the postpartum period, is understudied.
AIM
To assess the effect of PFME on SF during pregnancy and the postpartum period.
METHODS
The following databases were searched: CINAHL (EBSCOhost), Health Collection (Informit), PubMed (National Center for Biotechnology Information), Embase (Ovid), MEDLINE, Cochrane, Health Source, Scopus, Wiley, Health & Medical Complete (ProQuest), Joanna Briggs Institute, and Google Scholar. Results from published randomized controlled trials (RCTs) and non-RCTs from 2004 to January 2018 on pregnant and postnatal women were included. PEDro and Critical Appraisal Skills Programme scores were used to assess the quality of studies. Data were analysed using a qualitative approach.
MAIN OUTCOME MEASURE
The primary outcome was the impact of antenatal or postnatal PFME on at least 1 SF variable, including desire, arousal, orgasm, pain, lubrication, and satisfaction. The secondary outcome was the impact of PFME on PFM strength.
RESULTS
We identified 10 studies with a total of 3607 participants. These included 4 RCTs, 1 quasi-experimental study, 3 interventional cohort studies, and 2 long-term follow up cohort studies. No studies examined the effect of PFME on SF during pregnancy. 7 studies reported that PFME alone improved sexual desire, arousal, orgasm, and satisfaction in the postpartum period.
CONCLUSION
The current data needs to be interpreted in the context of the studies' risk of bias, small sample sizes, and varying outcome assessment tools. The majority of the included studies reported that postnatal PFME was effective in improving SF. However, there is a lack of studies describing the effect of PFME on SF during pregnancy, and only minimal data are available on the postpartum period. More RCTs are needed in this area. Sobhgol SS, Priddis H, Smith CA, et al. The Effect of Pelvic Floor Muscle Exercise on Female Sexual Function During Pregnancy and Postpartum: A Systematic Review. Sex Med Rev 2019;7:13-28.
介绍
骨盆底肌肉运动（PFME）被推荐为治疗尿失禁的一线治疗方法。然而，文献综述表明，PFME 对性功能（SF）的影响，特别是在怀孕期间和产后期间，研究不足。
目的
评估 PFME 对怀孕和产后期间 SF 的影响。
方法
检索了以下数据库：CINAHL（EBSCOhost）、Health Collection（Informit）、PubMed（美国国家生物技术信息中心）、Embase（Ovid）、MEDLINE、Cochrane、Health Source、Scopus、Wiley、Health & Medical Complete（ProQuest）、Joanna Briggs 研究所和 Google Scholar。纳入了 2004 年至 2018 年 1 月期间发表的针对孕妇和产后妇女的随机对照试验（RCT）和非 RCT 的结果。使用 PEDro 和批判性评价技能计划评分来评估研究质量。使用定性方法分析数据。
主要观察结果
主要结果是产前或产后 PFME 对至少 1 个 SF 变量的影响，包括欲望、唤起、高潮、疼痛、润滑和满意度。次要结果是 PFME 对 PFM 强度的影响。
结果
我们确定了 10 项研究，共有 3607 名参与者。这些研究包括 4 项 RCT、1 项准实验研究、3 项干预性队列研究和 2 项长期随访队列研究。没有研究检查 PFME 对怀孕期间 SF 的影响。7 项研究报告说，单独的 PFME 可改善产后期间的性欲望、唤起、高潮和满意度。
结论
目前的数据需要根据研究的偏倚风险、样本量小和不同的结果评估工具进行解释。大多数纳入的研究报告说，产后 PFME 有效改善了 SF。然而，关于 PFME 对怀孕期间 SF 的影响的研究很少，只有很少的数据可用于产后期间。在这一领域需要更多的 RCT。Sobhgol SS、Priddis H、Smith CA 等人。骨盆底肌肉运动对女性怀孕和产后性功能的影响：系统评价。性医学评论 2019；7：13-28。
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